| Riverpark Counseling Llc | |
|
107 Front St Ste 2134 Vidalia LA 71373-2836 | |
| (318) 336-2212 | |
| Not Available |
| Full Name | Riverpark Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 107 Front St, Vidalia, Louisiana |
| Authorized Official Name and Position | John Fairbanks (OWNER) |
| Authorized Official Contact | 3183362212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverpark Counseling Llc 107 Front St Ste 2134 Vidalia LA 71373-2836 Ph: (318) 336-2212 | Riverpark Counseling Llc 107 Front St Ste 2134 Vidalia LA 71373-2836 Ph: (318) 336-2212 |
| NPI Number | 1407249766 |
|---|---|
| Provider Enumeration Date | 03/11/2015 |
| Last Update Date | 03/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407249766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 12091 (Louisiana) | Primary |
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